himalayan linguistics - UCSB Linguistics - University of California ...

Kansakar et al.: A sociolinguistic study of the Baram language
appendix 2: Survey questionnaire Set-II (for the non-speaker)
Appendix 2: Survey questionnaire Set-II (for the non-speakers)
THE PILOT SURVEY QUESTIONNAIRE
Set-II (for the non-speakers)
(Linguistic and Ethnographic Documentation of the Baram Language)
Date: ………/………/2007 Researcher: ……………………….
Place: ……………………. Language used: …………….……
Researcher’s note:
………………………………………………………………………………………
………………………………………………………………………………………
…………………………………………………………
1. General Background
1.1 Name and surname: ………………………………..
1.2 Baram subgroup …………………….
1.3 Sex: male female
1.4 Age: …………..
1.5 Profession:
1.6 Address:
agriculture business  service 
Municipality/VDC: ………………… Ward No.: ……….
Village: ………………..
1.7 Education:
Tole: ……………………..
Preliterate Literate non-formal formal: ………… (level)
2. Linguistic Background
2.1 Where were you born? VDC……………..….Ward No….….Tole…………
2.2 Where did you grown up? VDC……………..….Ward No….….Tole…………
2.3 Language used at home in childhood days? …………………...
2.4 Language you learnt first? ……………………
2.5. Father's first language? ……………………
2.6. Mother's first language? ……………………
2.7 Spouse's first language? ……………………
3. Name of the Language
3.1 Autoglotonym (name(s) given to the language by the native speakers):
a. ………………… b. …………………
3.2 Heteroglotonym (name(s)) given by the non-native communities:
a. ………………… c. …………………
b. ……………….. d. ………………….
217